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Remote Medicare Claims Processing Jobs in Delaware

Stryker

$35/hr

Experience documenting complex processes and presenting them in a clear format Who We Want ... Prior exposure to claims databases (Medicare, MarketScan, Premier PINC AI, Optum) or EHR data ...

Stryker

$35/hr

Experience documenting complex processes and presenting them in a clear format Who We Want ... Prior exposure to claims databases (Medicare, MarketScan, Premier PINC AI, Optum) or EHR data ...

Stryker

$35/hr

Experience documenting complex processes and presenting them in a clear format Who We Want ... Prior exposure to claims databases (Medicare, MarketScan, Premier PINC AI, Optum) or EHR data ...

Stryker

$35/hr

Experience documenting complex processes and presenting them in a clear format Who We Want ... Prior exposure to claims databases (Medicare, MarketScan, Premier PINC AI, Optum) or EHR data ...

Stryker

$35/hr

Experience documenting complex processes and presenting them in a clear format Who We Want ... Prior exposure to claims databases (Medicare, MarketScan, Premier PINC AI, Optum) or EHR data ...

Stryker

$35/hr

Experience documenting complex processes and presenting them in a clear format Who We Want ... Prior exposure to claims databases (Medicare, MarketScan, Premier PINC AI, Optum) or EHR data ...

Stryker

$35/hr

Experience documenting complex processes and presenting them in a clear format Who We Want ... Prior exposure to claims databases (Medicare, MarketScan, Premier PINC AI, Optum) or EHR data ...

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All JobsMedicare Claims Processing JobsRemote Medicare Claims Processing JobsRemote Medicare Claims Processing Jobs in Delaware

Remote Medicare Claims Processing information

What is remote Medicare claims processing?

Remote Medicare claims processing involves reviewing, verifying, and submitting medical claims to Medicare from a location outside of a traditional office, often from home. Professionals in this role ensure that healthcare providers are reimbursed for services rendered to Medicare patients by checking claims for accuracy, compliance, and eligibility. They use specialized software to process electronic and paper claims, resolve discrepancies, and follow up on denied or delayed payments. This job requires knowledge of Medicare regulations, coding, and strong attention to detail. Remote work allows for flexible scheduling but also demands self-discipline and secure handling of sensitive patient data.

What are the key skills and qualifications needed to thrive as a remote Medicare claims processor?

To thrive as a Remote Medicare Claims Processor, you need strong attention to detail, knowledge of medical billing and coding, and a solid understanding of Medicare regulations, often supported by a relevant certification like CPC or CCA. Familiarity with claims processing software, electronic health record (EHR) systems, and Medicare-specific platforms such as the Fiscal Intermediary Standard System (FISS) is typically required. Strong organizational skills, effective written communication, and problem-solving abilities help you excel in remote work environments. These skills ensure timely and accurate claims processing, minimize errors, and support compliance with complex healthcare regulations.

What are some common challenges faced by remote Medicare claims processors and how can they be managed?

One common challenge for remote Medicare claims processors is staying up-to-date with frequent changes in Medicare regulations and billing codes. Additionally, working remotely can make it harder to quickly clarify complex cases with colleagues or supervisors. To manage these challenges, it's important to participate in regular training sessions, utilize internal communication platforms for collaboration, and maintain organized documentation. Employers often provide digital resources and support channels to help remote processors stay connected and informed.

What is the difference between Remote Medicare Claims Processing vs Remote Medical Billing Specialist?

AspectRemote Medicare Claims ProcessingRemote Medical Billing Specialist
CertificationsCPAR, CPC, or similarCPB, CPC, or similar
Work EnvironmentHealthcare insurance, government programsHealthcare providers, clinics, hospitals
Job FocusSubmitting and managing Medicare claimsBilling for various medical services and insurance

Remote Medicare Claims Processing involves handling claims specifically for Medicare, focusing on government regulations and Medicare-specific procedures. Remote Medical Billing Specialists manage billing for a variety of insurance types and healthcare providers. While both roles require similar certifications and work remotely in healthcare settings, Medicare Claims Processing is specialized in government insurance claims, whereas Medical Billing covers broader insurance billing tasks.

What are popular job titles related to Remote Medicare Claims Processing jobs in Delaware?

For Remote Medicare Claims Processing jobs in Delaware, the most frequently searched job titles are:

What job categories do people searching Remote Medicare Claims Processing jobs in Delaware look for?

The top searched job categories for Remote Medicare Claims Processing jobs in Delaware are:

What cities in Delaware are hiring for Remote Medicare Claims Processing jobs?

Cities in Delaware with the most Remote Medicare Claims Processing job openings:

Remote Medicare Claims Processing jobs near you
Infographic showing various Remote Medicare Claims Processing job openings in Delaware as of August 2026, with employment types broken down into 97% Full Time, and 3% Contract. Highlights an 100% Remote job distribution.

Benefits Customer Service Representative - Remote in Delaware $21/Hr

Dover, DE • Remote

Veteran Jobs - 2023 Mar 01 - Veterans Resources
Technology, Communication and Media • 11 - 50 employees
Learn more about Veteran Jobs - 2023 Mar 01 - Veterans Resourcesexternal

$21.87/hr

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

 

ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers. If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps. 
This is a FT, temporary role. The pay is $21.87 per hour. This is open to applicants located in and working from the following states only: Maryland, Delaware, Pennsylvania, Virginia, Washington D.C., or Florida
Johns Hopkins Health Plan (JHHP) in Hanover, MD is hiring Customer Service Representatives (CSR) for their Call Center department.
Schedule:
5 days per week, 8 hour shifts per day
Monday- Friday with rotating weekends
Call Center Hours of operation: 8am-8pm 
Location:
100% Remote position
Equipment will be provided
Employee will need to have efficiently working wi-fi, wi-fi will need to pass minimum speed test during interview process
Applicants must hold their permanent residence in one of the following locations to be considered for this position:
Maryland, Delaware, Pennsylvania, Virginia, Washington D.C., or Florida
Pay rate: $21.87 per hour
Responsibilities
The Customer Service Representative (CSR) is a professional role responsible for responding to inquiries from Johns Hopkins Health Plans members, providers, and internal stakeholders. The CSR listens actively, provides accurate information, resolves issues, and documents interactions in JHHP's systems.   
 

  • Answer inbound calls from Medicare Advantage members, representatives, and providers with empathy and professionalism.
  • Handle a variety of call types including benefit eligibility, enrollment, and claims status.
  • Conduct thorough research using available resources to resolve inquiries within CMS guidelines and internal policies.
  • Demonstrate strong listening skills and patience to understand and address member needs.
  • Work independently while collaborating with team members to ensure first-call resolution and a positive member experience.
  • Navigate multiple systems to resolve complex issues and advocate for members.
  • Exhibit a passion for delivering exceptional customer service that positively impacts STAR ratings.
  • Make outbound calls as needed for surveys and to resolve outstanding issues.
  • Communicate clearly and concisely, both verbally and in writing.
  • Adapt to changes and demonstrate flexibility in a dynamic environment.


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